Lillian Carter Health Center by Harborview in Plains, GA has an overall 2 out of 5 stars. The main concerns are a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.31 vs 4.1 hours per resident per day), while the health inspection rating is 3 stars, quality measures are 2 stars, and there were $0 fines in the last 24 months.
Last inspection: September 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3097.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
1.17
Nurse aides
1.71
Weekend nursing
2.52
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13.8%12%Improving
Residents with a fall causing major injury
2.1%2.1%No change
Residents with pressure ulcers (bedsores)
7.3%4.8%Improving
Residents with a urinary tract infection
2.2%4.3%Worsening
Residents who lost too much weight
19%2.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.7%11.8%Improving
Residents whose ability to walk got worse
—37.8%—
Long-stay residents on antianxiety or sleep medication
20.5%16.7%Improving
Short-stay residents newly given an antipsychotic
—4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.3%25.9%Worsening
Residents with depressive symptoms
0%75.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—94.1%—
Long-stay residents given the pneumonia vaccine
97.9%97.9%No change
Short-stay residents given the seasonal flu vaccine
—86.7%—
Short-stay residents given the pneumonia vaccine
89.7%88.9%Worsening
What the inspectors found
The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 909 — 42 CFR §483.90 — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of HARBORVIEW HEALTH SYSTEMS · 22 homes · 1.8 stars avg
Occupancy
57 residents on an average day (57% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.